I am reading more and more about Sleep Dentistry and Obstructive Sleep Apnea. Some of my patients who snore have started to ask me about wearing an appliance or having surgery to cut down on their snoring.
I have seen many advertisements for training courses and products in this area and I see that this is becoming a growth area in dentistry. But I am worried about masking significant signs and symptoms by making a snoring appliance. I believe that Silent Nite [Glidewell Labs] is the most widely used appliance for snoring. What are other dentists doing about this area? Do you send the patient to a physician to be evaluated or do you do you own evaluation? How difficult is it to adjust the Silent Nite appliance? Has it helped your patients?
According to Glidewell Labs:
Relaxed and collapsed airway produces soft tissue vibrations during breathing that result in snoring. The Silent Nite device positions your lower jaw forward, keeping your airway open, allowing easier breathing and preventing snoring. The special connectors allow your lower jaw to move freely providing maximum comfort during sleep.
Snoring research has also shown that custom fabricated dental devices worn at night that
move the lower jaw into a forward position, increase the three dimensional space in the airway
tube which reduces air velocity and soft tissue vibration. By increasing the volumetric
capacity of the airway and preventing soft tissue vibrations, snoring is eliminated. In clinical
research studies, these dentist prescribed oral devices have exhibited initial snoring prevention
success rates of between 70 to 100%.
The SILENT NITE device positions the lower jaw into a forward position by means of special
connectors that are attached to transparent flexible upper & lower forms. The forms
are custom laminated with heat and pressure to the dentist’s model of the mouth.The fit is
excellent and comfortable. “